Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.20 / $695.60 / $836.69	Facility		$293.20	$695.60	$836.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.05 / $303.93 / $715.12	Professional		$286.05	$303.93	$715.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.85 / $1,908.08 / $4,729.99	Facility		$489.85	$1,908.08	$4,729.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $275.32 / $357.56	Professional		$3.50	$275.32	$357.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.59 / $883.48 / $1,645.42	Facility		$373.59	$883.48	$1,645.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.56 / $411.42 / $544.65	Professional		$233.56	$411.42	$544.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $536.34 / $1,317.60	Professional		$345.40	$536.34	$1,317.60
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $464.83 / $464.83 / $464.83	Professional		$464.83	$464.83	$464.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.78 / $245.29 / $446.95	Professional		$178.78	$245.29	$446.95
United Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $242.79 / $417.55	Professional		$150.18	$242.79	$417.55